Management of epulis fissuratum in geriatric patients with hypertension complicated by hematoma

Penatalaksanaan epulis fissuratum pada pasien geriatri dengan hipertensi disertai komplikasi hematoma:

Abstract

Epulis fissuratum is a benign gingival enlargement caused by chronic irritation, commonly seen in users of ill-fitting dentures and frequently observed in ge-riatric patients. This report describes the management of epulis fissuratum in a geriatric patient with hypertension to minimize the risk of postoperative vascu-lar complications. A 72-year-old woman complained of a lump on her upper gum that had been growing larger over the past month or so. The patient had been using a complete set of dentures for about 7 years, which now felt loose. Clinical examination revealed a pedunculated lesion in the labial vestibule and buccal mucosa. Excision was performed under general anesthesia. Postoperatively, the patient developed a hematoma that was managed conservatively and showed clinical improvement by day 14. It was concluded that appropriate management of geriatric patients with hypertension is crucial for preventing complications and supporting optimal healing.